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Individual

DR. NENITA OTADOY ESTRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1308 SHERWOOD AVE, RICHMOND, VA 23220-1210
(804) 828-3129
(804) 828-9493
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101058862
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101058862
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010035023
VA
Enumeration date
09/27/2006
Last updated
04/27/2018
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